AMANDA NICOLE ROESCH
NPI 1639408701
Nurse Practitioner - Family in Baltimore, MD

Active since December 18, 2009PECOS Enrolled
408 W LOMBARD ST, BALTIMORE, MD 21201(667) 214-1899 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Nicole Roesch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA NICOLE ROESCH (NPI 1639408701) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R175173) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639408701
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA NICOLE ROESCH
Location Address408 W LOMBARD STBaltimore, MD 21201-1601
Mailing Address408 W Lombard StBaltimore, MD 21201-1601 · (667) 214-1899
Sole ProprietorNo
Enumeration DateDecember 18, 2009
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1639408701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MD · R175173
408 W LOMBARD ST, Baltimore, MD 21201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Nicole Roesch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
408 W LOMBARD ST
BALTIMORE, MD 21201
Nurse Practitioner (Family)
408 W LOMBARD ST
BALTIMORE, MD 21201
Family Medicine (Sports Medicine)
408 W LOMBARD ST
BALTIMORE, MD 21201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Roesch's NPI number?

The NPI number for Amanda Roesch is 1639408701. It was assigned to this individual provider in the NPPES registry on December 18, 2009.

Where is Amanda Roesch located?

Amanda Roesch practices at 408 W Lombard St, Baltimore, MD 21201. The listed phone number is (667) 214-1899.

What is Amanda Roesch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Roesch enrolled in Medicare?

Yes. Amanda Roesch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Roesch was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.